| Jessica Clark, | |
|
152 First Ave N, Ilwaco, WA 98624 | |
| (503) 960-5098 | |
| Not Available |
| Full Name | Jessica Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 152 First Ave N, Ilwaco, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558034942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Clark, 5 N Highway 101 # 188, Warrenton, OR 97146-9313 Ph: () - | Jessica Clark, 152 First Ave N, Ilwaco, WA 98624 Ph: (503) 960-5098 |
Keli Marie Vasquez, AGENCY AFFILIATED CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-214-0474 | |
Lacie Ranae Ranieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 School Rd, Ilwaco, WA 98624 Phone: 360-642-3731 | |
Tiffany Arden Bryce, MA, NBCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-261-6930 | |
Brent Lawrence Corvalan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-261-6930 |